Individual
QUIERA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3255 TACKETT RD, DOUGLASVILLE, GA 30135-9105
(470) 825-3362
Mailing address
3255 TACKETT RD, DOUGLASVILLE, GA 30135-9105
(470) 825-3362
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004225
GA
Other
Enumeration date
10/10/2018
Last updated
02/05/2026
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